Patient Access Representative II - St. Marys PRN

Conifer Revenue Cycle Solutions • Nebraska City, NE

213d

About The Position

The Patient Access Representative is responsible for duties in support of departmental efficiencies, which may include performing scheduling, registration, patient pre-admission and admission, reception, and discharge functions. This role requires obtaining complete and accurate patient demographic information and employing proper, compliant patient liability collection techniques before, during, and after the date of service. The representative greets patients following Conifer Standards of Care, provides world-class customer service, and completes full patient registration at the date of service. They must adhere to financial and cash control policies and procedures, thoroughly explain and secure hospital and patient legal forms, and scan Protected Health Information. Additionally, they may assist with scheduling diagnostic procedures and educate patients about financial liabilities.

Requirements

• High School Diploma or GED required.
• 0 - 1 year in a Customer Service role.
• 0 - 1 year administrative experience in a medical facility, health insurance, or related area preferred.
• Some college coursework is preferred.
• Minimum typing skills of 35 wpm.
• Demonstrated working knowledge of PC/CRT/printer.
• Knowledge of function and relationships within a hospital environment preferred.
• Customer service skills and experience.
• Ability to work in a fast-paced environment.
• Ability to receive and express detailed information through oral and written communications.
• Understanding of Third-Party Payor requirements preferred.
• Understanding of Compliance standards preferred.

Nice To Haves

• Ability to perform essential job duties in at least two Patient Access service areas including Emergency Department.
• Uses proper negotiation techniques to professionally collect money owed by Patients/Guarantors.
• Builds and maintains collaborative relationships with both internal and external clients.

Responsibilities

• Greeting patients following Conifer Standards of Care.
• Providing world-class customer service.
• Completing full patient registration at date of service.
• Adhering to financial and cash control policies and procedures.
• Explaining and securing hospital and patient legal forms.
• Scanning Protected Health Information.
• Creating and filing patient information packets/folders for upcoming hospital services.
• Assisting with scheduling diagnostic procedures.
• Educating patients about patient financial liabilities.
• Employing proper, compliant patient liability collection techniques.
• Performing hospital cash reconciliation and secured payment entry.
• Securing medical necessity checks/verification.
• Verifying insurance, benefits, coverage, and eligibility.
• Completing assigned registration financial clearance work lists activities.
• Obtaining insurance authorizations for scheduled and unscheduled hospital services.
• Securing inpatient visit notification to payors.
• Assisting with scheduling and coordinating post-discharge care for patients.

Benefits

• Competitive benefits package.
• Resources and incentives to redefine healthcare services.

What This Job Offers

• Career Level: Entry Level
• Industry: Insurance Carriers and Related Activities
• Education Level: High school or GED